| Pine Monitoring Llc | |
|
6424 E Broadway Rd Ste 102 Mesa AZ 85206-1750 | |
| (602) 354-5310 | |
| Not Available |
| Full Name | Pine Monitoring Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6424 E Broadway Rd Ste 102, Mesa, Arizona |
| Authorized Official Name and Position | Thomas Moshiri (MANAGER) |
| Authorized Official Contact | 6024413573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Monitoring Llc 21001 N Tatum Blvd Ste 1630-606 Phoenix AZ 85050-4242 Ph: () - | Pine Monitoring Llc 6424 E Broadway Rd Ste 102 Mesa AZ 85206-1750 Ph: (602) 354-5310 |
| NPI Number | 1124641857 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124641857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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